CMS debuts proposed ICD-10-CM codes for fiscal year 2018

Why This Topic Matters

The proposed updates affect common documentation and reporting scenarios in multiple specialties and include a substantial number of new, revised, and deleted ICD-10-CM codes. Knowing which areas are changing helps organizations prepare for coding updates, documentation review, and annual ICD-10-CM transition planning.

Article Sections

1. Overview of the FY 2018 IPPS proposed rule

   Introduces the CMS rulemaking cycle and summarizes the scale of the proposed ICD-10-CM update. It also frames the main clinical areas affected by the year’s changes.

2. Ophthalmologic codes

   Covers proposed changes in eye-related diagnosis coding, including blindness and low-vision categories and broader ophthalmology updates. The section also discusses laterality and severity-related reporting structure at a high level.

3. Non-pressure chronic ulcers in the lower extremities

   Describes proposed updates affecting chronic ulcer coding for the lower extremities. It addresses the expansion of specificity in this diagnosis area and the organizations associated with the proposal.

4. Maternal care codes

   Summarizes proposed maternal diagnosis code changes related to fetal heart rate or rhythm concerns. The section explains the broader context of code restoration and trimester-related reporting structure.

5. External cause codes crash into the all-terrain vehicle (ATV) and dirt bike world

   Reviews proposed external cause code additions for injuries involving off-road vehicles and related accident scenarios. It also notes the general structure of the new reporting elements discussed in the article.